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Censored Composite Conditional Quantile Screening for High-Dimensional Survival Data
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作者 LIU Wei LI Yingqiu 《应用概率统计》 CSCD 北大核心 2024年第5期783-799,共17页
In this paper,we introduce the censored composite conditional quantile coefficient(cC-CQC)to rank the relative importance of each predictor in high-dimensional censored regression.The cCCQC takes advantage of all usef... In this paper,we introduce the censored composite conditional quantile coefficient(cC-CQC)to rank the relative importance of each predictor in high-dimensional censored regression.The cCCQC takes advantage of all useful information across quantiles and can detect nonlinear effects including interactions and heterogeneity,effectively.Furthermore,the proposed screening method based on cCCQC is robust to the existence of outliers and enjoys the sure screening property.Simulation results demonstrate that the proposed method performs competitively on survival datasets of high-dimensional predictors,particularly when the variables are highly correlated. 展开更多
关键词 high-dimensional survival data censored composite conditional quantile coefficient sure screening property rank consistency property
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Association between cancer concealment and the survival of the patients with non-small cell lung carcinoma 被引量:1
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作者 蒋英 罗凡砚 +2 位作者 周卧龙 欧阳燕兰 林雅琼 《中南大学学报(医学版)》 CAS CSCD 北大核心 2019年第6期657-663,共7页
Objective:To explore the relationship between cancer awareness and the survival of the patients with non-small cell lung carcinoma(NSCLC).Methods:A total of 865 NSCLC patients were screened for the risk factors,includ... Objective:To explore the relationship between cancer awareness and the survival of the patients with non-small cell lung carcinoma(NSCLC).Methods:A total of 865 NSCLC patients were screened for the risk factors,including age,gender,address,tumor/lymph nodes/metastasis(TNM)stage,and cancer awareness.Survival of the patients was calculated by Kaplan-Meier method and Cox regression analysis.Results:After an average observation time of 304 d(ranging from 0 to 4718 d),62 of the 394 patients in the cancer awareness group survived,whereas 26 of the 471 patients in the cancer concealment group survived.Cancer-specific and all-cause survival was poorer in the cancer concealment group(P<0.001 for each,log-rank test).Cox multivariate regression analysis showed that cancer concealment displayed significantly lower cancer-specific survival[hazard ratio(HR)=1.534,95%con fi dence interval(CI)1.320 to 1.784,P<0.001]and all-cause survival(HR=1.558,95%CI 1.346 to 1.803,P<0.001).Conclusion:Cancer concealment is associated with a poor survival of NSCLC patients,which may prohibit the patients from obtaining the real“right to survival”. 展开更多
关键词 non-small cell lung carcinoma cancer awareness risk factors survival cancer concealment
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The Influence of Shock Treatment on Survival Rate of Intestinal Probiotics during Freezing 被引量:1
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作者 LI Chun ZHANG Lanwei +1 位作者 LIU Libo FENG Zhen 《Journal of Northeast Agricultural University(English Edition)》 CAS 2006年第1期36-40,共5页
Probiotics which can provide potential health benefits for consumers and prevent disease, is the most important research field for functional food in the future. It is the key point that how much the count of bacteria... Probiotics which can provide potential health benefits for consumers and prevent disease, is the most important research field for functional food in the future. It is the key point that how much the count of bacteria and how long it can preserve. Freeze-drying skill is one of the best preservation methods, but it's defect that damage to biological systems can be attributed to changes in the physical state of membrane lipids or/and changes in the structure of sensitive proteins and the decreased survival rate. This work used pretreatment methods-cold shock and hot shock to reduce the damage to bacteria during freeze-drying. Using unpretreated samples as control, aspects of cold shock or heat shock. The response of Enterococcous faecalis A31 was investigated during lag phase, the middle of exponential growth phase and the terminal of exponential growth phase. The results suggested that when cold shock, the shock protein concentration produced by treated sample within 2 h during the middle of exponential growth phase was higher than 4, 8, 24 h, The concentration of shock protein produced by treated sample at 10 ℃ was higher than 20℃, The concentration of sample protein at the middle of exponential growth phase was higher than that at the terminal of exponential growth phase. After one-month storage, the survival rate at 10℃ was better than 20 ℃ and 4 ℃comparatively. The survival rate at (6 h) 4 ℃/24 h (lag period) was higher than (10 h) 4 ℃/24 h (the middle of exponential growth phase), and the effect of 10℃/8 h shock treatments was best during the middle of exponential growth phase, when hot shock, The concentration of heat shock proteins produced was not obvious, and survival rate was higher at 45 ℃, 30 min than at 45 ℃, 60 min. 展开更多
关键词 Enterococcous faecalis A31 FREEZE-DRYING shock proteins survival rate
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Evaluation of survival stow position and stability analysis for heliostat under strong wind 被引量:1
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作者 冯煜 陈小安 单文桃 《Journal of Central South University》 SCIE EI CAS CSCD 2016年第11期3006-3017,共12页
Heliostats are sensitive to the wind load, thus as a key indicator, the study on the static and dynamic stability bearing capacity for heliostats is very important. In this work, a numerical wind tunnel was establishe... Heliostats are sensitive to the wind load, thus as a key indicator, the study on the static and dynamic stability bearing capacity for heliostats is very important. In this work, a numerical wind tunnel was established to calculate the wind load coefficients in various survival stow positions. In order to explore the best survival stow position for the heliostat under the strong wind, eigenvalue buckling analysis method was introduced to predict the critical wind load theoretically. Considering the impact of the nonlinearity and initial geometrical imperfection, the nonlinear post-buckling behaviors of the heliostat were investigated by load-displacement curves in the full equilibrium process. Eventually, combining B-R criterion with equivalent displacement principle the dynamic critical wind speed and load amplitude coefficient were evaluated. The results show that the determination for the best survival stow position is too hasty just by the wind load coefficients. The geometric nonlinearity has a great effect on the stability bearing capacity of the heliostat, while the effects of the material nonlinearity and initial geometrical imperfection are relatively small. And the heliostat is insensitive to the initial geometrical imperfection. In addition, the heliostat has the highest safety factor for wind-resistant performance in the stow position of 90-90 which can be taken as the best survival stow position. In this case, the extreme survival wind speeds for the static and dynamic stability are 150 m/s and 36 m/s, respectively. 展开更多
关键词 HELIOSTAT survival stow position stability bearing capacity strong wind
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Salidroside Pretreatment to Mesenchymal Stem Cells Improves Cell Survival and Migration to Promote Diabetic Wound Healing
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作者 Olivia Marcelina Jianqi Zhang +5 位作者 Dyah Ari Nugrahaningrum Zhiling Xu Guixue Wang Li Yang Shourong Wu Vivi Kasim 《医用生物力学》 EI CAS CSCD 北大核心 2019年第A01期141-142,共2页
Objective Diabetic patients pose a greater challenge in managing chronic wound healing,leading to a higher amputation risk compared to non-diabetic patients.Due to their paracrine function by secreting various cytokin... Objective Diabetic patients pose a greater challenge in managing chronic wound healing,leading to a higher amputation risk compared to non-diabetic patients.Due to their paracrine function by secreting various cytokines and angiogenic factors,mesenchymal stem cells(MSCs)have been acknowledged to be a potential agent in modulating wound healing process.However,post-transplanted MSCs are vulnerable to death,indicating poor survival and migration ability in the wound site of the host,especially under hyperglycemia.As hyperglycemia induces reactive oxygen species(ROS)generation and cellular apoptosis,improvement of MSCs survival and migration potentials under hyperglycemia could contribute to a more efficient MSCs-based wound healing therapy.Salidroside(Sa),a small-molecule drug derived from Rhodiola plant,has been proved to enhance the paracrine function of skeletal muscle cells,as well as their migration even under hypoxichyperglycemia.Herein,we investigated whether Sa could improve the survival and migration potentials of MSCs,subsequently enhance the wound healing process under hyperglycemia.Methods MSCs were cultured under three conditions:low glucose,high glucose,and high glucose+Sa.qPCR analysis and western blotting were done to examine the mRNA and protein expression level of several factors which are important in upregulating the wound healing process.MTT colorimetric assay,intracellular ROS detection,and flow cytometry assay were employed to examine the effect of Sa in MSCs survival.Transwell chamber assay,scratch assay,and phalloidin staining were done to elucidate the role of Sa in regulating MSCs migration potential.For in vivo experiment,diabetic wound healing mice model was generated to elucidate the effect of Sa-pretreated MSCs transplantation in wound closure rate,as well as re-epithelization status,observed with hematoxylin and eosin staining.The diabetic wound healing mice model were divided into three groups:1)mice injected with PBS,2)mice transplanted with PBS-pretreated MSCs,and 3)mice transplanted with Sa-pretreated MSCs.Results(1)Hyperglycemic condition induced the generation of ROS and suppressed total cell number of MSCs,while Sa treatment into MSCs restored these hyperglycemia-induced alterations.In line with this,total apoptotic cells were also suppressed by treating MSCs with Sa.The expression level of cell survival factor,heme-oxygenase 1(HO-1),was enhanced in Sa-pretreated MSCs.Further treatment of HO-1 inhibitor into Sa-pretreated MSCs nullified the ROS level and total apoptotic cells,indica-ting the importance of HO-1 in mediating the Sa-induced survival of MSCs under hyperglycemia.(2)Transwell chamber and scratch assay results showed that Sa-pretreated MSCs have a higher migration potential under hyperglycemia,supported by higher F-actin polymerization fractal dimension.Fibroblast growth factor 2(FGF2)and hepatocyte growth factor(HGF)expression level,which are essential factors for cell migration,were also improved in Sa-pretreated MSCs under hyperglycemia.(3)In diabetic wound healing mice model,transplantation of Sa-pretreated MSCs resulted in significantly improved wound closure rate and re-epithelization.The protein levels of HO-1,FGF2,and HGF were also enhanced in the tissues obtained from the wound site of diabetic wound healing mice model which were transplanted with Sa-pretreated MSCs.Conclusions Salidroside pretreatment on MSCs could improve their survival and migration potentials,subsequently promoting wound healing process under hyperglycemia.This prospective MSC-based therapy could serve as a novel strategy to improve diabetic wound healing. 展开更多
关键词 SALIDROSIDE MESENCHYMAL stem cells CELL survival CELL transplantation DIABETIC wound HEALING
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Progesterone Promotes the Survival of Newborn Neurons in the Dentate Gyrus of Adult Male Mice 被引量:5
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作者 Sokabe Masahiro 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2010年第5期652-652,共1页
This study investigated the effects of progesterone(P4) on the production and survival of neurons in the hippocampal dentate gyrus of adult male mice.The administration of P4(4 mg/kg) for 3 consecutive days beginning ... This study investigated the effects of progesterone(P4) on the production and survival of neurons in the hippocampal dentate gyrus of adult male mice.The administration of P4(4 mg/kg) for 3 consecutive days beginning on the 0-2 nd day after the first BrdU-injection(BrdU-D0-2) produced an approximately twofold increase in the number of 28-and 56-day-old BrdU(+) cells in comparison to the controls,whereas it did not alter the number of 24 /48-h-old BrdU(+) cells.P4 preferentially promoted the survival of newborn neurons when administered at BrdU-D5-7,but not at BrdU-D10-12 and BrdU-D15-17.Androstenedione(Ad),testosterone(TE),or estradiol(E2) at the same-dose of P4,when administered at BrdU-D0-2,could not replicate the effect of P4,while the inhibition of 5 alpha-reductase by finasteride did not affect the P4-action,indicating that the P4-effect is exerted by P4 itself but not by its metabolites.On the other hand,the P4R antagonist RU486 partially suppressed the P4-effect,while inhibitors for Src,MEK,or PI3K totally suppressed the P4-effect.Finally,the P4-enhanced survival of newborn neurons was accompanied by a potentiation of spatial learning and memory,which was P4R-dependent.These findings suggest that P4 enhances the survival of newborn neurons through P4R and /or the Src-ERK and PI3K pathways independent of its influence on cell proliferation,which is well correlated with the potentiated spatial cognitive function of P4-treated animals. 展开更多
关键词 神经细胞 孕酮 医学 研究
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Shear Stress Regulates Tumor Cell Mechanics and Actomyosin-Dependent Survival and Chemoresistance
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作者 Ying XIN Junfan WANG +1 位作者 Kai TANG Youhua TAN 《医用生物力学》 EI CAS CSCD 北大核心 2019年第A01期142-143,共2页
Metastasis is the main cause of cancer death,and tumor cells mainly disseminate to the distal organs through the blood circulation,in which they experience considerable levels of fluid shear stress.CTCs are heterogene... Metastasis is the main cause of cancer death,and tumor cells mainly disseminate to the distal organs through the blood circulation,in which they experience considerable levels of fluid shear stress.CTCs are heterogeneous with diverse subpopulations of distinct genotypes and phenotypes and the frequency of CTCs is correlated with poor prognosis and overall survival in cancer patients.Less than 0.01%of them may eventually generate metastatic tumors in secondary sites,indicating the inefficiency of metastasis.Nevertheless,metastasis accounts for over 90%of cancer-related deaths,suggesting that a subpopulation of CTCs are able to survive the metastatic process and form metastases.To target metastasis,it is thus essential to understand the roles of various factors during dissemination in the survival and functions of CTCs.However,the effects of hemodynamic shear stress on biophysical properties and functions of CTCs in suspension are not fully understood.This study was to investigate the effect of hemodynamic shear stress on the survival and anti-chemotherapy ability of suspended circulating tumor cells during metastasis,and the effect of actomyosin activity on this regulation.In this study,we developed a circulatory system to generate physiologic levels of hemodynamic shear stress,which mimicked certain important aspects of the CTC microenvironment in blood circulation.The survival of tumor cells in suspension,as a model for real CTCs,under different shear stress and circulation duration was examined.We found that the majority of breast tumor cells s in suspension can be eliminated by hemodynamic shear stress.The surviving cells exhibit unique biophysical properties,including significantly retarded cell adhesion,mesenchymal-like cell morphology,and reduced F-actin expression and cellular stiffness.Cancer stem cells which has been reported in other papers have lower stiffness compared with conventional tumor cells showed significantly higher survival in blood flow.Importantly,low actomyosin activity promotes the survival of CTCs in blood shear flow while high actomyosin activity inhibits tumor cells surviving shear stress treatment.These findings might be explained by the up-and down-regulation of the anti-apoptosis genes.Soft surviving tumor cells held survival advantages in shear flow and higher resistance to chemotherapy.Metastasis is closely linked with chemoresistance.However,the underlying mechanisms have not been fully understood,in particular,the roles of hemodynamic shear stress and actomyosin-dependent cell mechanics in drug resistance of CTCs remain unclear.Inhibiting actomyosin activity in suspended tumor cells enhanced chemoresistance,while activating actomyosin suppressed this ability.These findings might be associated with the corresponding changes in multidrug resistance related genes.Our study unveils the regulatory roles of actomyosin in the survival and drug resistance of circulating tumor cells in hemodynamic shear flow,which imply the importance of fluid shear stress and actomyosin activity in tumor metastasis.Our findings reveal a new mechanism by which circulating tumor cells are able to survive hemodynamic shear stress and chemotherapy and may offer a new potential strategy to target circulating tumor cells in shear flow and combat chemoresistance through actomyosin. 展开更多
关键词 TUMOR Cell MECHANICS Actomyosin-Dependent survival CHEMORESISTANCE
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Prospective Analysis on Survival Outcomes of Nonsmall Cell Lung Cancer Stages over Ⅲb Treated with HangAm-Dan 被引量:4
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作者 Tae-Young JEONG Bong-Ky PARK +2 位作者 Yeon-Weol LEE Chong-Kwan CHO Hwa-Seung YOO 《中国肺癌杂志》 CAS 2010年第11期1009-1015,共7页
Background and objective Non-small cell lung cancer (NSCLC) stages over IIIb still remain as an intractable disease.Survival rate of NSCLC stages over IIIb could be increased through chemotherapy and radiation,but res... Background and objective Non-small cell lung cancer (NSCLC) stages over IIIb still remain as an intractable disease.Survival rate of NSCLC stages over IIIb could be increased through chemotherapy and radiation,but results are not satisfactory.Oriental medicine herbal formula,HangAm-Dan (HAD) has been developed for anti-tumor purpose and several previous studies have already reported its effects.The aim of this study is to assess HAD's efficacy on prolonging the survival rate of NSCLC stages over IIIb.Methods We have administered 3 000 mg of HAD daily to patients.The study included 74 first visit patients of East-West Cancer Center (EWCC) from November 2007 to April 2008,diagnosed with inoperable NSCLC stages over IIIb.Among them,30 patients were in HAD group and 44 patients were in combined group with conventional therapy and HAD.We have observed and analyzed their overall survival.Results Of total 74 patients,overall 1 year,2 year survival rates and the median survival time were 62.1%,34.9% and 17.0 months (95%CI: 12.9-21.1).NSCLC stage IIIb patients showed higher survival rates than NSCLC stage IV patients (P=0.408).The 1 year,2 year survival rates and the median survival time of the combined group were 70.5%,37.9% and 20.0 months (95%CI: 16.4-24.6).In HAD group,the 1 year,2 year survival rates and the median survival time were 50.0%,25.7% and 12.0 months (95%CI: 6.6-17.4).The combined therapy group showed higher survival rates than the HAD group (P=0.034).Each groups treated with HAD for more than 4 weeks showed higher survival rates than those treated for less than 4 weeks,but there was no significant difference (P=0.278).In hazard ratio,the combined therapy group showed lower mortality rate than the HAD group with statistical significance (P=0.040).Conclusion HAD could prolong the survival rate of inoperable NSCLC stages over IIIb.HAD is more effective when combined with conventional therapy.In the future,more controlled clinical trials with larger sample in multi-centers are needed to reevaluate the efficacy and safety of HAD.Keywords Lung neoplasms; HangAm-Dan; Oriental medicine; Overall survival rate; Cancer; Herb Abstract Background and objective Non-small cell lung cancer (NSCLC) stages over IIIb still remain as an intractable disease.Survival rate of NSCLC stages over IIIb could be increased through chemotherapy and radiation,but results are not satisfactory.Oriental medicine herbal formula,HangAm-Dan (HAD) has been developed for anti-tumor purpose and several previous studies have already reported its effects.The aim of this study is to assess HAD's efficacy on prolonging the survival rate of NSCLC stages over IIIb.Methods We have administered 3 000 mg of HAD daily to patients.The study included 74 first visit patients of East-West Cancer Center (EWCC) from November 2007 to April 2008,diagnosed with inoperable NSCLC stages over IIIb.Among them,30 patients were in HAD group and 44 patients were in combined group with conventional therapy and HAD.We have observed and analyzed their overall survival.Results Of total 74 patients,overall 1 year,2 year survival rates and the median survival time were 62.1%,34.9% and 17.0 months (95%CI: 12.9-21.1).NSCLC stage IIIb patients showed higher survival rates than NSCLC stage IV patients (P=0.408).The 1 year,2 year survival rates and the median survival time of the combined group were 70.5%,37.9% and 20.0 months (95%CI: 16.4-24.6).In HAD group,the 1 year,2 year survival rates and the median survival time were 50.0%,25.7% and 12.0 months (95%CI: 6.6-17.4).The combined therapy group showed higher survival rates than the HAD group (P=0.034).Each groups treated with HAD for more than 4 weeks showed higher survival rates than those treated for less than 4 weeks,but there was no significant difference (P=0.278).In hazard ratio,the combined therapy group showed lower mortality rate than the HAD group with statistical significance (P=0.040).Conclusion HAD could prolong the survival rate of inoperable NSCLC stages over IIIb.HAD is more effective when combined with conventional therapy.In the future,more controlled clinical trials with larger sample in multi-centers are needed to reevaluate the efficacy and safety of HAD. 展开更多
关键词 《中国肺癌杂志》 期刊 NSCLC 摘要
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Genetic Polymorphisms in the Precursor MicroRNA Flanking Region and Non-Small Cell Lung Cancer Survival 被引量:8
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作者 Hu, Zhibin Shu, Yongqian +11 位作者 Chen, Yijiang Chen, Jiaping Dong, Jing Liu, Yao Pan, Shiyang Xu, Lin Xu, Jing Wang, Yi Dai , Juncheng Ma, Hongxia Jin, Guangfu Shen,Hongbing 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2011年第6期808-808,共1页
关键词 RNA 非小细胞肺癌 序列 测量结果
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On the Aesthetic Value of the Theory of Survival and the Theory of Death in the Works of Franz Kafka 被引量:1
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作者 Wang Heli 《学术界》 CSSCI 北大核心 2014年第9期259-263,共5页
The problem of "life and death" has been a confusing proposition of philosophy since long ago,for which philosophers both at home and abroad take great pains to pursue the answer.The problem of"life and... The problem of "life and death" has been a confusing proposition of philosophy since long ago,for which philosophers both at home and abroad take great pains to pursue the answer.The problem of"life and death"is also attractive for litterateurs.This paper attempts to scrutinize the works of Franz Kafka and based on comments of different critics,simply analyzing the theory of survival and the theory of death and exploring the aesthetic value.Through analysis,the author of this paper concludes that the theory of survival in the works of Kafka tends to express hating of not being favored by chances and the fright and anxiety of the time;on the contrary,the theory of death in his works tends to express worship and belief.Both life and death are expressed vividly in his works,showing the brave pursuit of senior artistic forms of Kafka and the essence of its aesthetic value. 展开更多
关键词 作品 美学价值 死亡 生存论 审美价值 艺术形式 哲学家 吸引力
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Colorectal cancer in Alexandria,Egypt;clinical profile,epidemiological characteristics,trend,and survival
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作者 Moataz M.Abdel-Fattah Omaima G.Yassine 《海南医学院学报》 CAS 2010年第8期981-987,991,共8页
Objective:During the past decades,the incidence of colorectal cancer was increased all around the world.In Egypt,colorectal cancer is the 7th most common cancer.The purpose of this study is to study the problem of col... Objective:During the past decades,the incidence of colorectal cancer was increased all around the world.In Egypt,colorectal cancer is the 7th most common cancer.The purpose of this study is to study the problem of colorectal cancer in Alexandria:trend,and survival.Methods:Two methodological strategies were adopted:Record reviewing for estimation of the annual incidence rates of colorectal cancer,and a retrospective cohort study to calculate the 5-year survival rates of colorectal cancer.Results:The annual incidence rates of CRC in Alexandria in 2007-2008 were 6.33 and 6.45 respectively per 100000 mid-year Alexandria population.The overall 5-years cumulative survival rate for CRC cases was 28.0%.Conclusion:This increase in incidence and mortality rates points toward a failed early detection and prevention strategy as well as failure to address lifestyle and dietary challenges of urbanization that affect most of the globe including Egypt. 展开更多
关键词 大肠癌 发病率 治疗方法 预防措施
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Growth, survival and pigmentation of turbot (Scophthalmus maximus) larvae fed live-prey enriched with ESP and S.S
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作者 LIANGMeng-qing KwangYang,Kim +1 位作者 CHANGQing WANGJia-lin 《海洋水产研究》 CSCD 2004年第3期68-73,共6页
用两种营养强化剂 (ESP ,S .S)强化轮虫、卤虫活饵料 ,以探讨这两种强化剂对大菱鲆生长、存活及色素沉积情况。结果发现ESP组能明显改善大菱鲆的色素异常 ,两组大菱鲆生长相似。用ESP强化组的存活率高于S .S强化组。
关键词 大菱鲆 DHA:EPA 色素沉积 成活 生长
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2002—2017年上海市女性乳腺癌生存分析 被引量:2
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作者 吴春晓 庞怡 +4 位作者 顾凯 颜佳颖 王春芳 向詠梅 施燕 《中国癌症杂志》 北大核心 2025年第3期291-297,共7页
背景与目的:上海市疾病预防控制中心每年更新上海市恶性肿瘤流行统计资料。乳腺癌是女性常见的恶性肿瘤之一,近年来上海市女性乳腺癌发病率仍在上升,死亡率已呈下降趋势,本研究旨在进一步分析2002—2017年上海市女性乳腺癌诊断病例的生... 背景与目的:上海市疾病预防控制中心每年更新上海市恶性肿瘤流行统计资料。乳腺癌是女性常见的恶性肿瘤之一,近年来上海市女性乳腺癌发病率仍在上升,死亡率已呈下降趋势,本研究旨在进一步分析2002—2017年上海市女性乳腺癌诊断病例的生存情况。方法:采用上海市疾病预防控制中心建立的人群基础肿瘤登记管理系统和全死因登记系统收集的2002—2017年上海市女性乳腺癌发病、死亡和随访资料,按诊断年份、年龄、病理组织学类型和诊断时期别分层分析,计算数量、构成比和生存率指标。5年观察生存率应用寿命表法计算,应用Elandt-Johnson模型推算0~99岁逐岁的生存概率,再根据EdererⅡ方法计算期望生存率,最终获得5年相对生存率。应用Joinpoint软件计算生存率的年度变化百分比(annual percent change,APC)并分析变化趋势。结果:2002—2017年上海市女性乳腺癌诊断病例共73600例,其中病理学诊断67681例,占91.96%。截至2022年12月31日,已死亡23745例(32.26%),因肿瘤死亡19466例,占所有病例的26.45%;已死亡和随访生存期满5年的完全随访病例共68332例(92.84%);失访病例5268例(7.16%)。纳入观察队列73538例,占99.92%。逐年观察病例数从2002年的3330例增长至2017年的6095例,增幅接近翻倍;5年观察生存率从2002年的78.77%动态变化至2017年的84.55%,呈现缓慢增长趋势,年均增速为0.50%(APC=0.50%,t=8.75,P<0.001);5年相对生存率也从83.46%缓慢增长至89.24%,年均增速为0.47%(APC=0.47%,t=9.80,P<0.001)。2002—2017年上海市女性乳腺癌总体5年观察生存率为83.24%(82.96%~83.52%),5年相对生存率为87.58%(87.29%~87.87%),并随着时间变化持续上升,随着年龄的增长而降低,随着诊断时期别的增加而降低。其中,15~64岁各组间的5年相对生存率差异无统计学意义(P>0.05)。病例数以期别不详组最多,其次是Ⅱ期组,再是Ⅰ期组。Ⅰ期病例的5年相对生存率达到99.10%(98.78%~99.42%),但仅占25.51%;Ⅳ期病例的5年相对生存率为52.54%(50.98%~54.11%),占6.13%;期别不详组的5年相对生存率为82.04%(81.42%~82.65%),占31.05%。结论:上海市女性乳腺癌诊断水平和生存率较高,且仍在不断改善,但组织学类型和期别不详病例所占比例相对较高,Ⅰ期病例所占比例不高,Ⅳ期病例生存率较低。本研究结果可为女性乳腺癌的进一步研究和预防控制提供参考。 展开更多
关键词 乳腺癌 生存 流行病学 上海
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Survivability model of LEO satellite constellation based on GERT with limited backup resources
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作者 NIE Yuanyuan FANG Zhigeng +1 位作者 LIU Sifeng GAO Su 《Journal of Systems Engineering and Electronics》 SCIE CSCD 2024年第4期976-986,共11页
Survivability is used to evaluate the ability of the satellite to complete the mission after failure,while the duration of maintaining performance is often ignored.An effective backup strategy can restore the constell... Survivability is used to evaluate the ability of the satellite to complete the mission after failure,while the duration of maintaining performance is often ignored.An effective backup strategy can restore the constellation performance timely,and maintain good network communication performance in case of satellite failure.From the perspective of network utility,the low Earth orbit(LEO)satellite constellation survivable graphical eva-luation and review technology(GERT)network with backup satel-lites is constructed.A network utility transfer function algorithm based on moment generating function and Mason formula is proposed,the network survivability evaluation models of on-orbit backup strategy and ground backup strategy are established.The survivable GERT model can deduce the expected mainte-nance time of LEO satellite constellation under different fault states and the network utility generated during the state mainte-nance period.The case analysis shows that the proposed surviv-able GERT model can consider the satellite failure rate,backup satellite replacement rate,maneuver control replacement ability and life requirement,and effectively determine the optimal sur-vivable backup strategy for LEO satellite constellation with limi-ted resources according to the expected network utility. 展开更多
关键词 survivABILITY low Earth orbit(LEO)satellite constella-tion graphical evaluation and review technology(GERT) backup strategy
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非常规视角下电力系统抗毁性研究初探
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作者 齐冬莲 陈郁林 +3 位作者 朱益哲 李丽 闫云凤 林振智 《电力系统自动化》 北大核心 2025年第16期9-21,共13页
电力系统是国家最为关键的基础设施之一,保障其安全稳定运行意义重大。然而,在复杂国际局势下,电力系统面临着恶意打击等非常规极端事件威胁。相比于台风等极端天气,非常规极端事件具有蓄意性、强突发性和高损毁性的特点,对电力系统安... 电力系统是国家最为关键的基础设施之一,保障其安全稳定运行意义重大。然而,在复杂国际局势下,电力系统面临着恶意打击等非常规极端事件威胁。相比于台风等极端天气,非常规极端事件具有蓄意性、强突发性和高损毁性的特点,对电力系统安全稳定运行的威胁极大。从非常规视角出发,探讨了电力系统在非常规极端事件下的极限生存问题。首先,根据非常规极端事件的特点,定义了电力系统抗毁性,并将其与可靠性、自愈性和韧性等进行了详细对比。然后,剖析了非常规极端事件下电力系统抗毁性提升面临的主要问题和挑战。最后,初步给出了非常规极端事件下电力系统抗毁性提升研究构想,提出了迫切需要研究的5个方向:非常规极端事件模拟与系统毁伤机理建模、面向非常规极端事件的电力系统抗毁性评估、信息物理耦合视角下电力系统抗毁能力提升、电力系统毁伤检测与修复支持系统与装备、面向非常规极端事件的抗毁沙盘推演系统。文中旨在指出研究非常规极端事件下电力系统抗毁性提升的重要性和迫切性,提出前瞻性的研究构想,为中国电力系统的极限生存能力提升提供参考。 展开更多
关键词 极端事件 韧性 电力系统 信息物理耦合 抗毁性 极限生存
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“宇宙的尽头是直播带货”:主播类型、生存伦理与直播带货的道德经济学 被引量:2
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作者 吕鹏 江峥滢 《暨南学报(哲学社会科学版)》 北大核心 2025年第3期1-24,共24页
近年来,直播带货作为一种数字劳动方式迅速崛起,越来越多的人被吸引成为带货主播。既有关于带货主播的研究已经展示了该群体的劳动过程及情感实践,但是未曾论及全民带货趋势的成因。为此,本文基于道德经济学的理论视角,通过参与式观察... 近年来,直播带货作为一种数字劳动方式迅速崛起,越来越多的人被吸引成为带货主播。既有关于带货主播的研究已经展示了该群体的劳动过程及情感实践,但是未曾论及全民带货趋势的成因。为此,本文基于道德经济学的理论视角,通过参与式观察和深度访谈两种研究方法,试图深入剖析大众选择直播带货的深层因由。为了厘清带货主播的多样性和复杂性,本文依据阶层维度和收入维度提出了一个带货主播的类型学框架,将现有的带货主播分为精英复制、草根逆袭、中产迷茫及底层边缘四种类型。继而从社会情境、外在环境和内在要求三个方面分析了大众为什么能以及为什么都要去直播带货。研究发现,道德经济渗透于直播带货的商品价值和社会互动中。同时在流量经济下,道德经济发挥着重要作用,使得不同类型的带货主播面临着道德资本增值和道德反噬两种结果。直播带货是理解当下数字中国社会的一个最为直观的切面和窗口之一,以道德经济学为视角,加大对理论和现实的反思,才能更好地寻求直播行业长远发展的方法与路径。 展开更多
关键词 直播带货 带货主播 类型 生存伦理 道德经济
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上海市结直肠癌筛查项目参与状态对结直肠癌发病、分期及患者生存结局的影响
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作者 彭鹏 窦剑明 +5 位作者 吴春晓 庞怡 龚杨明 吴梦吟 施燕 顾凯 《中国癌症杂志》 北大核心 2025年第7期657-664,共8页
背景与目的:上海市社区居民结直肠癌筛查项目从2013年开始实施至今已12年。本研究旨在以筛查参与状态分组,分析筛查对结直肠癌发病、分期及生存结局的影响。方法:采用基于注册的队列研究方法,将2013—2017年上海市户籍居民中符合筛查年... 背景与目的:上海市社区居民结直肠癌筛查项目从2013年开始实施至今已12年。本研究旨在以筛查参与状态分组,分析筛查对结直肠癌发病、分期及生存结局的影响。方法:采用基于注册的队列研究方法,将2013—2017年上海市户籍居民中符合筛查年龄范围的人群分为筛查组和非筛查组,通过肿瘤登记报告系统收集入组后5年期间诊断为结直肠癌的病例,按性别、年龄和诊断年份等分类计算结直肠癌年龄标准化累积发病率和年龄组累积发病率、诊断时分期及生存率。使用Joinpoint回归分析方法计算年度变化百分比进行累积发病率趋势分析,采用寿命表法和EdererⅡ法计算结直肠癌患者的5年观察生存率和期望生存率,最终获得相对生存率。结果:分别纳入50~74岁筛查组对象1687689人和非筛查组对象4713307人,随访5年期间两组分别新发结直肠癌病例10333例和20904例。筛查组年龄标准化5年累积发病率为555.33/10万,平均每年增长33.32%(P<0.05),非筛查组年龄标准化5年累积发病率为529.85/10万,平均每年增长48.13%(P<0.05)。筛查组与非筛查组年龄标准化5年累积发病率差异无统计学意义(X=0.25,P=0.804);年龄组越低,筛查组年龄标准化累积发病率年度变化百分比增长与非筛查组相比差异越大。筛查组和非筛查组新发结直肠癌病例诊断时0~Ⅰ期分别占14.70%和7.46%,两组构成差异有统计学意义(P<0.05)。筛查组患者5年相对生存率为73.94%,显著高于非筛查组(59.66%),差异有统计学意义(P<0.05)。两组病例的女性生存率均高于男性,生存率随诊断时年龄增加而降低。结论:居民结直肠癌筛查项目实施,筛查参与人群的结直肠癌发病率增长速度得到遏制,结直肠癌病例诊断时早期比例和5年生存率均得到显著提升。要实现全人群结直肠癌发病率下降,需大力提高适宜人群筛查覆盖率,特别是促进低年龄组人群参与筛查的比例;应关注高年龄组筛查质量,提高高风险人群肠镜检查的依从性。同时进一步优化不同性别、年龄和风险人群筛查的精细化管理。 展开更多
关键词 结直肠癌 筛查 累积发病率 分期 生存率
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维奈克拉长疗程方案治疗急性髓系白血病的生存分析及影响因素
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作者 孔繁聪 纪德香 +6 位作者 喻敏 齐凌 宋宝全 陈志未 李甜甜 张卢涛 李菲 《中国肿瘤临床》 北大核心 2025年第10期515-522,共8页
目的:探讨维奈克拉为基础(venetoclax based,VEN-based)的方案长疗程治疗初治急性髓系白血病(acute myeloid leukemia,AML)(非M3型)的生存及影响因素,为AML的维持治疗提供依据。方法:回顾性分析2021年5月至2024年1月在南昌大学第一附属... 目的:探讨维奈克拉为基础(venetoclax based,VEN-based)的方案长疗程治疗初治急性髓系白血病(acute myeloid leukemia,AML)(非M3型)的生存及影响因素,为AML的维持治疗提供依据。方法:回顾性分析2021年5月至2024年1月在南昌大学第一附属医院接受至少4个疗程VEN-based方案治疗的初治AML患者资料,分析其复合完全缓解率(composite complete response rate,cCR)、微小残留病(minimal residual disease,MRD)的阴性率、总生存时间(overall survival,OS)、无复发生存时间(relapse-free survival,RFS)及不良反应发生情况。结果:本研究共纳入30例初治AML患者,中位年龄65(53~78)岁,中位治疗7(4~20)个疗程。1个疗程治疗后cCR和MRD阴性率分别为80.0%和63.3%。累积cCR为96.7%,MRD阴性率为80.0%。中位随访21.3(95%CI:14.7~27.9)个月,中位OS为32.3个月,中位RFS未达到,2年OS率和RFS率分别为70.6%和54.8%。单因素分析提示2017版欧洲白血病网(ELN)危险度分层预后不良及复发影响RFS及OS(P<0.05),多因素分析未提示上述因素与生存率有关(P>0.05)。安全性方面以血液学不良反应最为常见,其次为感染,总体耐受性良好。结论:VEN-based方案长疗程治疗AML患者疗效确切且安全性好,50%以上患者可获2年以上生存。VEN-based方案可作为AML患者有效维持治疗选择。 展开更多
关键词 急性髓系白血病 维奈克拉 维持治疗 疗效 生存
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基于中国人群特征的心脏移植术前风险评分的建立
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作者 郑珊珊 郑哲 +4 位作者 黄洁 廖中凯 侯剑峰 唐汉韡 刘盛 《中国循环杂志》 北大核心 2025年第4期331-339,共9页
目的:建立一个基于中国人群特征的心脏移植术前风险评分模型。方法:对中国医学科学院阜外医院2004年6月至2022年12月连续的1210例心脏移植受者进行了一项单中心回顾性研究。单因素和多因素Logistic回归分析用于风险因素的筛选。使用基于... 目的:建立一个基于中国人群特征的心脏移植术前风险评分模型。方法:对中国医学科学院阜外医院2004年6月至2022年12月连续的1210例心脏移植受者进行了一项单中心回顾性研究。单因素和多因素Logistic回归分析用于风险因素的筛选。使用基于Akaike信息标准的逐步后退程序进行变量选择。最终模型的多因素分析回归系数用作权重,对每个因素进行赋分。最终形成心脏移植(HTx)评分模型。使用受试者工作特征(ROC)曲线下面积(AUC)来评估模型性能。依据患者分数将患者分为低、中、高风险。采用Kaplan-Meier法对不同风险分层进行生存分析。结果:以低风险患者为参考,中风险患者1年移植物衰竭的OR为2.0(95%CI:1.1~3.6,P=0.02),高风险患者1年移植物衰竭的OR为9.8(95%CI:5.4~17.7,P<0.01)。风险评分模型具有良好的判别性能,AUC为0.712(95%CI:0.646~0.778),内部验证的校正AUC是0.713。Hosmer-Lemeshow拟合优度检验显示预测模型有较好的校准能力(Hosmer-Lemeshowχ^(2)为2.92,P=0.71)。本队列中,IMPACT评分、UNOS评分、RSS评分、Mayo评分、BO评分和TRS评分模型的AUC分别为0.645、0.651、0.632、0.589、0.610和0.604。Kaplan-Meier生存分析显示3个风险分层的远期生存率差异有统计学意义,远期生存率随着HTx评分风险分层等级的增加而显著下降(P<0.05)。结论:HTx评分与术后1年内移植物衰竭率之间存在显著关联,并且能够有效区分低、中、高风险的心脏移植受者。 展开更多
关键词 心脏移植 风险预测模型 移植物衰竭 生存分析
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不同土壤基质条件下青檀的生态化学计量特征
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作者 张莉 刘慧君 +2 位作者 王源秀 王聪 王友保 《环境化学》 北大核心 2025年第3期1015-1024,共10页
青檀是我国特有的纤维树种,其韧皮纤维是制作宣纸的主要原材料,土壤条件对青檀生长具有较大影响.为探究不同成土基质土壤的限制性养分及青檀的环境适应性,选取安徽省泾县板岩、砂岩和石灰岩3种成土基质土壤及其上生长的青檀为研究对象,... 青檀是我国特有的纤维树种,其韧皮纤维是制作宣纸的主要原材料,土壤条件对青檀生长具有较大影响.为探究不同成土基质土壤的限制性养分及青檀的环境适应性,选取安徽省泾县板岩、砂岩和石灰岩3种成土基质土壤及其上生长的青檀为研究对象,分析不同土壤基质条件下青檀的生态化学计量特征.结果显示,3种基质土壤间C、N、P含量存在显著差异,其中板岩土壤的C(56.50 g·kg^(−1))、N(4.91 g·kg^(−1))、P(1.03 g·kg^(−1))含量最高,石灰岩土壤N(1.22 g·kg^(−1))含量最低,砂岩土壤P含量最低(0.30 g·kg^(−1)).3种土壤中砂岩的C/P、N/P高于全国土壤均值;板岩的C/P低于全国土壤均值,N/P接近全国土壤均值;石灰岩的C/P、N/P均低于全国土壤均值.C/N方面,板岩土壤低于全国土壤C/N平均水平,砂岩和石灰岩基质土壤C/N均高于全国土壤平均水平.3种成土基质土壤上青檀叶片N、P含量具有显著差异,其中石灰岩土壤上青檀叶片N(21.56 g·kg^(−1))、P(3.15 g·kg^(−1))含量最高.石灰岩基质土壤上青檀叶片的C/N、C/P均低,砂岩基质上青檀叶片C/N、C/P较高,板岩基质上的青檀介于两者之间.青檀叶片的N/P表现为砂岩基质(9.78)>石灰岩基质(7.64)>板岩基质(7.41),均小于14.综合分析发现,P和N可能是3种基质土壤上青檀生长的限制性元素,其中砂岩基质受P限制更为严重;在适应对策上,石灰岩基质上青檀采取了竞争策略,砂岩基质上青檀选择了防御为主的适应策略,而板岩基质上的青檀介于二者之间,偏向于适应策略. 展开更多
关键词 土壤基质 青檀 生态化学计量 限制性养分 生存策略.
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